OHIP-G14

Test how strong the following declarations apply to your situation. Click your answer.

Did you have during the past month,
problems due to your teeth or mouth ... Very often often on and off rarely never
Difficulties to pronounce certain words? sehr oft oft ab und zu kaum nie
The sensation that your sense of taste was impaired? sehr oft oft ab und zu kaum nie
The feeling that your life was overall less satisfactory? sehr oft oft ab und zu kaum nie
Difficulty to relax? sehr oft oft ab und zu kaum nie
Did you have during the past month the feeling that due to problems
with you teeth and mouth,... Very often often on and off rarely never
You felt tense? sehr oft oft ab und zu kaum nie
You had to interrupt your meals? sehr oft oft ab und zu kaum nie
You had difficulties eating certain types of food? sehr oft oft ab und zu kaum nie
You were rather irritable towards others? sehr oft oft ab und zu kaum nie
You had difficulties to pursue you daily routine? sehr oft oft ab und zu kaum nie
You were totally unable to do something? sehr oft oft ab und zu kaum nie
You felt self-conscious? sehr oft oft ab und zu kaum nie
You had an unsatisfactory alimentation? sehr oft oft ab und zu kaum nie
Did you during the past month..... Very often often on and off rarely never
Have oral pain? sehr oft oft ab und zu kaum nie
Have a feeling of insecurity in relationship to your teeth or mouth? sehr oft oft ab und zu kaum nie

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